| NPI | 1750913984 |
|---|---|
| Former Name | SANDRA L BESIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 50146) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |